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Observational Study
©The Author(s) 2025.
World J Crit Care Med. Dec 9, 2025; 14(4): 110669
Published online Dec 9, 2025. doi: 10.5492/wjccm.v14.i4.110669
Table 2 Risk factors associated with fatal outcome in children with clinically relevant raised intracranial pressure, n (%)/median (25th-75th percentiles)
Characteristics
Survivors (n = 53)
Non-survivors (n = 16)
P value
Age, (years)6 (1.4-13)4.5 (1-9.4)0.50
Male patients27 (51)10 (62)0.42
Traumatic brain injury24 (45)3 (19)0.11
Cerebral infection 1 (2)2 (13)0.13
Septic shock 0 (0)5 (31)< 0.001
Hydrocephalus5 (9)0 (0)0.58
Hepatic encephalopathy0 (0)3 (19)0.01
Asphyxia due to drowning2 (4)1 (6)0.55
Abnormal pupils10 (19)9 (56)< 0.01
Abnormal posture1 (2)0 (0)0.77
Seizure18 (34)5 (31)0.99
Cushing triad syndrome1 (2)1 (6)0.41
Glasgow Coma Scale
GCS on PICU admission7 (7-7)5 (3-7)< 0.001
GCS at 24 hours7 (7-7)3 (3-4)< 0.001
GCS at 48 hours7 (7-8)3 (3-3)< 0.001
ONSD on right eyes, (mm)
ONSD on PICU admission5.2 (4.9-5.5)5.5 (5.1-5.6)0.35
ONSD at 24 hours5.1 (4.8-5.3)5.6 (5.27-5.73)0.03
ONSD at 48 hours 5.0 (4.63-5.2)5.74 (5.24-5.8)< 0.001
ONSD on left eyes, (mm)
ONSD on PICU admission5.4 (5.0-5.6)5.4 (5.18-5.6)0.65
ONSD at 24 hours5.3 (4.9-5.5)5.55 (5.19-5.8)0.09
ONSD at 48 hours5.1 (4.7-5.3)5.66 (5.39-5.84)0.003
Vasoactive inotropic score (VIS)10 (0-20)60 (30-90)< 0.001
VIS > 304 (8)14 (88)< 0.001
PELOD-2 score4 (4-6)12 (11-15)< 0.001
Mannitol infusion27 (51)8 (50)0.99
Hypertonic saline 3% infusion52 (98)15 (91)0.41
Decompressive craniectomy21 (40)6 (38)0.99
Ventriculoperitoneal shunt 4 (8)1 (6)0.57
Length of mechanical ventilation, (days)4.2 (3.5-5.0)3.3 (2.9-5.9)0.77
Length of PICU stay, (days)4.6 (3.9-5.6)3.3 (2.9-5.9)0.90


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